| NPI | 1902254774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 31307) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-04-18 |